Diabetic Digest - Wednesday, January 9, 2013

Readers:

Taking care of a crawling 8-month-old at home is the best weight-loss plan ever invented. I don't need to join a gym or eat better; I just chase after my son and because of that I don't have time to eat bad food or too much food. I've lost all kinds of weight since Jack was born.

So I guess the older my son gets...

I'm not suggesting having a child is the ultimate way to better your health or lose weight, diet and exercise is the way to go, the former just happened to work out that way for me.

It's still early in the New Year so let's hold onto those resolutions a little bit longer.

Regards,
Steve

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*-- Diabetic News --*
Diabetes as a risk factor for depression
By: Sally Robertson
medwireNews Reporter

medwireNews: Diabetes is associated with a significantly increased risk for depressive symptoms, show findings from a large meta-analysis.

"Professionals in charge of diabetes care should be aware of this problem," say F Rotella and E Mannucci from Careggi Teaching hospital in Florence, Italy.

"They should develop diagnostic abilities such as to recognize cases at greater risk," they add.

The findings come from an analysis of 16 longitudinal observational studies that included 497,223 individuals who were followed up for a mean of 5.8 years for incidence of depression associated with diabetes. In total, 42,633 cases were identified.

"The association found in the present meta-analysis confirms, on a larger scale, previous findings obtained in smaller samples of subjects," say the researchers.

As reported in Diabetes Research and Clinical Practice, a significantly higher incidence of depression was found among diabetic individuals than among those without diabetes, at 1.6% versus 1.4%.

After combining the results of all the studies, and after adjustment for a number of confounders, diabetes was associated with a significantly increased risk for incident depression, at a hazard ratio of 1.25.

The authors say the mechanisms underlying the association between diabetes and depression are probably complex, but symptoms related to hypoglycemia such as fatigue may play a role. In addition, the burden of diabetes treatment can have a negative effect, due to the impact of dietary limitations and drug side effects on mood.

"It is also conceivable that the negative expectations on future health, due to the awareness of the effect of long-term complications of diabetes, facilitate the onset of depressive symptoms," they add.

The team suggests that an earlier recognition and treatment of depressive symptoms could have a beneficial effect on the outcome of both depression and diabetes for patients. "In fact, there is a large body of evidence showing that depression can have a negative impact on diabetes control."

Furthermore, diabetes education should be designed appropriately, so as to avoid unnecessary fears of diabetes complications and excessive dietary restrictions.

"It is plausible that a different approach to diabetes management could weaken the association of diabetes with incident depression," concludes the team.

Original Article: Diabetes as a risk factor for depression


*-- Diabetic Recipe --*
Brownie Sundae Pie
Servings: 8
Prep time: 15 minutes
Cook time: 20 minutes
Total: 35 minutes

Ingredients
cooking spray
sugar
reduced-calorie margarine, melted
large egg
vanilla extract
all-purpose flour
unsweetened cocoa powder
baking powder
salt
cup reduced-calories frozen whipped topping, thawed
sliced bananas
chopped walnuts
non-fat vanilla frozen yogurt (optional)

Directions
1. Preheat oven to 350F. Lightly spray a 9-inch pie pan with cooking spray.
2. In a large bowl, combine the sugar, margarine, egg, and vanilla until well blended.
3. Stir in the flour, cocoa, baking powder, and salt until well incorporated.
4. Spread in the prepared pan.
5. Bake 20 minutes.
6. Cool completely on a wire rack.
7. Just before serving, spoon the whipped topping decoratively around the edges of the pie. Garnish with banana slices and walnuts.
8. Cut the pie into 8 wedges and serve with non-fat frozen vanilla yogurt, if desired. (Note: If you use the optional yogurt, be sure to add the extra calories and carb exchanges-check the label for specifics. Our nutritional information below is based on the recipe without the non-fat yogurt.)

Nutrition Information
Per serving: 150 calories, 2 g protein, 4 g fat (1.0 g saturated fat), 28 g carbohydrate, 25 mg cholesterol, 160 mg sodium
Exchanges: 2 carbohydrate (2 bread/starch), 1/2 fat

Original Recipe: Brownie Sundae Pie

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